How much rates vary
Facilitymedian $407 · 10th to 90th $15 to $2,512Professionalmedian $15 · 10th to 90th $12 to $30
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $14.79 | Facility | None | $12.30 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $26.30 | Professional | None | $12.30 | $14.79 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.41 Typical High $11.48 | Professional | 52 · Reduced service | $6.17 | $7.41 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.95 Typical High $4.57 | Professional | 53 · Discontinued | $2.45 | $2.95 | $4.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.19 Typical High $3.39 | Professional | 55 · Aftercare only | $1.86 | $2.19 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.48 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.23 | $1.48 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $346.74 Typical High $416.87 | Facility | None | $165.96 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $28.18 | Professional | None | $21.38 | $25.70 | $28.18 |
Geisinger Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $47.86 | Professional | None | $19.95 | $19.95 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $16.98 | Professional | None | $12.30 | $14.79 | $16.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.41 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $7.41 | $8.32 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.95 Typical High $3.31 | Professional | 53 · Discontinued | $2.45 | $2.95 | $3.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.19 Typical High $2.51 | Professional | 55 · Aftercare only | $1.86 | $2.19 | $2.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.48 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.23 | $1.48 | $1.62 |
Oscar Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.45 Median $16.98 Typical High $16.98 | Facility | None | $14.45 | $16.98 | $16.98 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $16.98 | Professional | None | $14.45 | $16.98 | $16.98 |
United Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $3,890.45 | Facility | None | $177.83 | $446.68 | $3,890.45 |
United Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $28.84 | Professional | None | $12.88 | $15.49 | $28.84 |
Where Pennsylvania sits
The same service costs 19.1 times more in Indiana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 48th of 51
$14.79
IN $257DE $13.49
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.